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564261 ENERGY OUTREACH COLORADO - CONTRACT - SOLE SOURCE - ENERGY OUTREACH COLORADO
Official Purchasing Document Last updated 3/2018 Page 1 of 2 AMENDMENT #1 AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND ENERGY OUTREACH COLORADO This First Amendment (Amendment #1) is entered into by and between the CITY OF FORT COLLINS (the “City”) and ENERGY OUTREACH COLORADO (the “Service Provider”). WHEREAS, the Service Provider and the City entered into an Agreement effective December 21, 2015 (the “Agreement”); and WHEREAS, Service Provider and the City desire to amend the Agreement to extend the term and clarify the budget. NOW, THEREFORE, in consideration of the foregoing recitals and the mutual promises herein contained, the parties agree as follows: 1. The term will be extended for one (1) additional year, January 1, 2020 through December 31, 2020. 2. Service Provider will disperse $56,589 of their funds prior to dispersing any City funds to rectify an unequal disbursement of funds from the 2018-2019 season. After the $56,589 of Service Provider’s funds have been dispersed, Service Provider will match City funds, dollar for dollar. Service Provider will reconcile fund disbursements with City Representative on a quarterly basis, unless requested otherwise. Except as expressly amended by this Amendment #1, all other terms and conditions of the Agreement shall remain unchanged and in full force and effect. In the event of a conflict between the terms of the Agreement and this Amendment #1, this Amendment #1 shall prevail. IN WITNESS WHEREOF, the parties have executed this First Amendment the day and year shown. [SIGNATURE PAGE FOLLOWS] DocuSign Envelope ID: 04F9BB8A-43DF-47F6-9A0E-D434B5F9DFA8 Official Purchasing Document Last updated 3/2018 Page 2 of 2 CITY OF FORT COLLINS: By: Gerry Paul Purchasing Director DATE: ATTEST: APPROVED AS TO FORM: ENERGY OUTREACH COLORADO By: Printed: Title: Date: DocuSign Envelope ID: 04F9BB8A-43DF-47F6-9A0E-D434B5F9DFA8 12/23/2019 Jennifer Gremmert Executive Director Assistant City Attorney ll 1/15/2020 City Clerk The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC POLICY PRO- GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) DocuSign Envelope ID: 04F9BB8A-43DF-47F6-9A0E-D434B5F9DFA8 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC POLICY PRO- GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1/14/2020 AssuredPartners Colorado, LLC 4582 S Ulster Street Suite 600 Denver CO 80237 Bethany Haight 303-863-7788 303-861-7502 bethany.haight@assuredpartners.com Pinnacol Assurance 41190 Gemini Insurance Company 10833 Energy Outreach Colorado Energy Outreach Colorado Efficiency, LLC 225 E 16th Ave Ste 200 Denver CO 80203 Travelers Commercial Insurance TRAVELERS 11025 Westchester Surplus Lines Insurance Company 10172 335504814 B X 1,000,000 X 50,000 5,000 1,000,000 2,000,000 Y VCGP024664 6/1/2019 6/1/2020 2,000,000 A 4144812 1/1/2020 1/1/2021 X 1,000,000 1,000,000 1,000,000 E C D Contractors Pollution Liability Cyber Liability Crime/Employee Theft G27480287005 105862051 105923321 6/1/2019 6/1/2019 6/1/2019 6/1/2020 6/1/2020 6/1/2022 Each Poll Condition Limit Limit $2,000,000 $1,000,000 $1,000,000 City of Fort Collins is included as an Additional Insured with respect to General Liability and Auto Liability as required by written contract. City of Fort Collins PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: 04F9BB8A-43DF-47F6-9A0E-D434B5F9DFA8 PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12/20/2019 AssuredPartners Colorado, LLC 4582 S Ulster Street Suite 600 Denver CO 80237 Bethany Haight 303-863-7788 303-861-7502 bethany.haight@assuredpartners.com Pinnacol Assurance 41190 Gemini Insurance Company 10833 Energy Outreach Colorado Energy Outreach Colorado Efficiency, LLC 225 E 16th Ave Ste 200 Denver CO 80203 Travelers Commercial Insurance TRAVELERS 11025 Westchester Surplus Lines Insurance Company 10172 1513163226 B X 1,000,000 X 50,000 5,000 1,000,000 2,000,000 Y Y VCGP024664 6/1/2019 6/1/2020 2,000,000 A Y 4144812 1/1/2019 1/1/2020 1,000,000 1,000,000 1,000,000 E C D Contractors Pollution Liability Cyber Liability Crime/Employee Theft G27480287005 105862051 105923321 6/1/2019 6/1/2019 6/1/2019 6/1/2020 6/1/2020 6/1/2022 Each Poll Condition Limit Limit $2,000,000 $1,000,000 $1,000,000 Platte River Power Authority is included as Additional Insured with regard to General Liability as required by written contract. A Waiver of Subrogation applies with regard to General Liability and Workers Compensation as required by written contract. Platte River Power Authority 2000 East Horsetooth Road Fort Collins CO 80203 DocuSign Envelope ID: 04F9BB8A-43DF-47F6-9A0E-D434B5F9DFA8